Abstract

A REVIEW OF SNUHYADI VARTI IN THE MANAGEMENT OF BHAGANDARA W.S.R. TO FISTULA-IN-ANO

Neha Diwakar*, Mrigank Shekhar and Prof. Neelam Gupta

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Abstract

Acharya Sushruta known as the founder of surgery and can say surgery is the gift of Acharya Sushruta to the world. Acharya Sushruta, Bhagandar is considered in ashta mahagada (Eight grave disorder).[1] Bhagandar literally means darana around bhaga, guda and vasti.[2] Patient which is suffering from bhagandar faces discomfort due to discharge and sometimes pains in his daily routine life. There are many surgical procedures for the management of bhagandar but its recurrency rate and complications after surgery are very high. Till date there is no any gold standard method for the management of bhagandar and incidences of this disease is very high That’s why it is the most challenging topic of ano-rectal surgery. In bhaisjya ratnavali bhagandar chikitsa adhyaay 51 describes about the snuhyadi varti which is destroy all the branches of bhagandar without any surgical intervention. Snuhyadi varti is composed of snuhi latex, arka latex and daruharidra.[3] Its pharmacological actions are anti-inflammatory, anti-microbial, anti-septic, anti-heparin, anti-proliferative, vaso-relaxant and wound healing. Due to corrosive property of latex, it removes all the pathogens, slough and fibrotic tissue from the track thus provide healthy granulation tissue for healing. It is an OPD based procedure and does not need any anesthesia. Cosmetically it is better because of no excessive damage of surrounding tissue and skin. During therapy patient does not suffer from pain, discomfort and mental stress and perform his daily routine work. Snuhyadi varti is complication free therapy and recurrence rate is also very less so we can say that bhagandar can be successfully treated by snuhyadi varti without any surgical intervention.

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